Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.57 / $1,400.00 / $1,831.20	Facility		$1,222.57	$1,400.00	$1,831.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.32 / $1,246.63 / $1,976.61	Professional		$1,141.32	$1,246.63	$1,976.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,181.78 / $1,286.35 / $1,545.08	Facility		$1,181.78	$1,286.35	$1,545.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $704.77 / $1,373.40 / $1,373.40	Professional		$704.77	$1,373.40	$1,373.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.78 / $1,370.78 / $1,370.78	Facility		$1,370.78	$1,370.78	$1,370.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,166.28 / $1,783.90 / $3,795.43	Professional		$1,166.28	$1,783.90	$3,795.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.17 / $1,464.72 / $2,054.73	Professional		$1,017.17	$1,464.72	$2,054.73